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Contact Information

JENNIFER DAMICO OCONNOR
355 N MAIN ST
NORTH BROOKFIELD, MA01535
 Phone: 508-867-3755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for JENNIFER DAMICO OCONNOR · (Female)

NPI Number 1689863623
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2007
Last updated 07/10/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 3785
  • MA License # 3786
  • MA Medicaid 9777385
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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